Senior Claims Examiner

Gallagher•San Jose, CA

6h•Remote

About The Position

This is a remote position based in California, and candidates must reside within the state. Keenan is a leading insurance brokerage and consulting firm serving hospitals, public agencies, and California school districts. Specializing in employee benefits, workers' compensation, loss control, financial services, and property & liability. Keenan is committed to delivering innovative solutions that protect and empower the communities we serve. At Gallagher, we’re united by a commitment to excellence and innovation. As a Senior Claims Examiner, you’ll play a vital role in helping businesses and individuals navigate complex Workers' Compensation claims. This is your opportunity to make a meaningful impact by resolving claims efficiently, mitigating risks, and delivering exceptional service. In this role, you’ll manage Workers' Compensation indemnity claims, ensuring they’re handled with care and precision. You’ll oversee complex claim issues, leveraging your expertise in litigation management and lien resolution to achieve fair outcomes. Your day-to-day will involve maintaining accurate claim diaries, updating reserves, and ensuring timely reporting to key stakeholders. You’ll also collaborate with legal teams, identify opportunities for subrogation, and work closely with clients to maintain satisfaction.

Requirements

High school diploma and 5 years related claims experience required.
Appropriately licensed and/or certified in all states in which claims are being handled or able to obtain the licenses/certification per local requirements.
Extensive knowledge of accepted industry standards and practices.
Computer experience with related claims and business software.
Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges.
Analytical skill necessary to make decisions and resolve complex issues inherent in handling losses.
Ability to successfully negotiate the settlement and disposition of serious claims including the ability to interpret related documentation.

Nice To Haves

Bachelor's degree preferred.

Responsibilities

Prepare and attend file reviews to ensure claims are progressing effectively.
Negotiate settlements and resolve outstanding liens.
Monitor and guide defense attorneys to achieve optimal outcomes.
Ensure compliance with all regulatory requirements and deadlines.

Benefits

Medical/dental/vision plans, which start from day one!
Life and accident insurance
401(K) and Roth options
Tax-advantaged accounts (HSA, FSA)
Educational expense reimbursement
Paid parental leave
Digital mental health services (Talkspace)
Flexible work hours (availability varies by office and job function)
Training programs
Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing
Charitable matching gift program